Health Reinsurance Actuarial Leader, Managed Care Analytics and Advisory
$235k - $255kAon Risk Services Inc
Health Reinsurance Actuarial Leader, Managed Care Analytics and Advisory Location: Flexible - United States
About the Role
In this role, you will serve as a senior client-facing leader, blending deep health actuarial expertise, managed care knowledge, and strategic insight. You will lead a team of actuaries and analysts delivering advanced analytics that shape risk strategies in the healthcare industry, including provider risk arrangements, health insurer reinsurance strategies, and employer stop loss. You will help clients understand the nature of the risk they face, how that risk shifts in different scenarios, and how to structure risk transfer and mitigation solutions that are aligned with their strategic, operational, and financial objectives. You will also oversee traditional stop loss and reinsurance placement analyses. This role carries significant responsibility for client leadership, team development, innovation, and business growth in the US market.Key Responsibilities
Client Leadership & Strategic Advisory
- Serve as the lead actuarial and analytics advisor for a portfolio of US-based health plan and healthcare provider clients.
- Shape client risk strategies for commercial value-based care arrangements and CMS ACO programs, including upside/downside risk contracts, global budgets, and other alternative payment models.
- Translate complex actuarial and financial analyses into clear, concise, and actionable recommendations for C-suite and senior leadership audiences.
- Lead executive-level client meetings and presentations, representing Aon as a trusted advisor and thought leader in the managed care and value-based care space.
Value-Based Care & Risk Analytics
- Direct the design and review of models to project utilization, cost, and performance distributions under value-based contracts and ACO arrangements.
- Oversee analyses of historical and prospective performance, including scenario and sensitivity testing around contract parameters, population characteristics, and care management interventions.
- Quantify the financial impact of alternative program designs (e.g., shared savings vs. full risk, partial vs. full capitation, global budgets) and advise on contract structure selection.
- Integrate quality, utilization, cost, and operational inputs to support clients in making informed, data-driven strategic decisions.
- Lead the development of standardized frameworks, tools, and best practices for value-based care analytics across the practice.
Reinsurance Analytics
- Oversee health reinsurance and stop loss placement strategy
- Articulate cost-benefit tradeoffs of various risk transfer structures
- Develop innovative health risk solutions including emerging risks
- Provide technical negotiation support with reinsurers and carriers
Leadership, Talent Development & Technical Oversight
- Lead and develop a team of junior actuaries and analysts, providing coaching, feedback, and career development guidance.
- Set expectations and standards for actuarial rigor, documentation, and peer review, ensuring that all work meets Aon’s quality and professional standards.
- Oversee multiple concurrent projects and workstreams, ensuring timely, high-quality delivery and a positive client experience.
- Encourage experimentation with new methods, data sources, and tools, while maintaining appropriate controls and governance.
Growth, Innovation & Business Development
- Play a key role in business development activities including pipeline management, go-to-market strategies, proposal development, and pitch meetings.
- Contribute to and help shape Aon’s intellectual capital and solution portfolio in the managed care and value-based care domains, including participation in thought leadership, external speaking, and publishing as appropriate.
Required Skills and Qualifications
- 12+ years of progressive health actuarial experience at leading actuarial consulting firms, health insurers, provider-sponsored plans, or similar organizations.
- Deep expertise in the US managed care environment, including commercial and government programs, with substantial hands-on experience in value-based payment models and/or ACO arrangements.
- Demonstrated leadership of complex actuarial projects involving value-based contracts, shared savings/shared risk arrangements, capitation, and/or global budgets.
- Strong experience with traditional health actuarial work, including pricing, reserving, trend analysis, and financial projections.
- Proven track record as a senior client leader, including responsibility for executive-level relationships and strategic advisory engagements.
- Pricing Strategies - Advanced
- Process Improvements - Experienced
- Profitability Analysis - Advanced
- Reinsurance - Advanced
- Report Writing - Advanced
- Risk Analysis - Experienced
- Risk Management - Experienced
- Trend Analysis - Experienced
- Actuarial Science - Advanced
- Data Management - Experienced
- Insurance - Advanced
- Market Pricing - Experienced
- Model Building - Adva
Education & Credentials
- FSA (Fellow of the Society of Actuaries) strongly preferred; experienced ASA with a particularly strong track record will be considered.
- Bachelor’s degree in Actuarial Science, Mathematics, Statistics, Economics, or a related quantitative field.
$180.12k - $388.82k
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